<form action="" method="get">
<table width="100%" border="1" bordercolor="#000000">
  <tr>
    <td><div align="center">
      <p>TelType</p>
      <table width="100%">
        <tr>
          $TelType        </tr>
      </table>

      <p>
        <input name="ftel" type="text" size="10" />
      </p>
      <p>
        <input type="submit" name="telt" value="telt" />
</p>
    </div></td>
    <td><div align="center">
      <p>AdrType</p>
      <table width="100%">
        <tr>
          $AdrType        </tr>
      </table>
	  <input name="fadr" type="text" size="10" />
	   <p>
        <input type="submit" name="adrt" value="adrt" />
</p>
    </div></td>
    <td><div align="center">
      <p>Country</p>
      <table width="100%">
        <tr>
          $Country        </tr>
      </table>
	  <input name="fcountr" type="text" size="10" />
	   <p>
        <input type="submit" name="countrt" value="countrt" />
</p>
    </div></td>
    <td><div align="center">
      <p>City</p>
      <table width="100%">
        <tr>
          $City        </tr>
      </table>
	  <input name="fcity" type="text" size="10" />
	  <p>
        <input type="submit" name="cityt" value="cityt" />
		<input name="countryID" type="text" size="2" />
</p>
    </div></td>
    <td><div align="center">
      <p>Street</p>
      <table width="100%">
        <tr>
          $Street        </tr>
      </table>
	  <input name="fstreet" type="text" size="10" />
	  	   <p>
        <input type="submit" name="streett" value="streett" />
		<input name="cityID" type="text" size="2" />
</p>
    </div></td>
    </tr>
</table>
</form>
